We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Job Summary:
CVS Aetna has an opportunity available for a full-time Customer Service Representative aligned with the Behavioral Health team. This role provides advocate care to assist the member with a clear path to care, claims understanding/resolution, and member education around online resources. The Customer Service Representative guides the members through their members’ benefit plans and Aetna policy/procedures. They will also be expected to have knowledge of regulatory guidelines governing these resources.
The Customer Service Representative position is ideal for someone with strong interpersonal skills, a passion for mental wellness advocacy, and is comfortable working with digital platforms in a fast-paced and emotionally sensitive setting.
Training Schedule:
Monday–Friday, 10:00 AM–6:30 PM EST
Duration: 8 weeks
Key Responsibilities:
The Customer Service Representative's responsibilities include (but are not limited to) the following:
Takes inbound calls from members and determines the quickest, most effective ways to answer member questions.
Creates an emotional connection with members by understanding and engaging them to champion their best health.
er records within the overall member management system
Provides introductory information and connects members with additional and appropriate benefits/external resources.
Performs a review of members’ claim history to ensure accurate tracking of benefit maximums, including deductible and coinsurance levels.
Explains members’ rights and responsibilities in accordance with our plan sponsors’ contracts.
Sends outbound e-mails to members where and as needed.
Supports members with troubleshooting and deescalating where needed.
Escalates queries and concerns when it is deemed necessary.
Ensures that members are satisfied with products/services by handling complaints and inquiries.
Works with the customer service team to share solutions and processes.
Embodies the CVS Core values in each interaction.
Required Qualifications:
1-3 years of call center and/or customer service experience.
1-3 years of healthcare and/ or medical insurance experience.
Basic computer knowledge and technical skills to use IP phones, customer records management, word processing, database, and e-mail/chat programs.
A private and confidential workspace free from distractions.
A hardwired connection is required (i.e., an Ethernet connection).
Time management skills to promptly respond to e-mails, call, and chat messages.
Active listening skills to effectively handle members who may be upset.
Preferred Qualifications:
Background in mental health or human services.
Bilingual or multilingual skills.
Experience working from home in a remote role.
Associates degree
Education:
A high school diploma or equivalent.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$17.00 - $31.30This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Job details are sourced from the employer's original posting.
Open job postingAbout the company
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come. Excellent benefits package, including 401k, tuition, licensure and certification reimbursement. We promote healthy & wellness lifestyles and offer specialty programs here at Aetna. We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence. Together we will empower people to live healthier lives. Benefit eligibility may vary by position. Click here to review the benefits associated with this position. Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities. We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.